WQ0041380_Application (FTSE)_20191211

State of North Carolina
WR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Dbalon of Water Resources FI'A 04-16 & SUPPORTING DOCUMENTATION
Application Number: t VV l WU (to be completed by pwtt)
All Items must be completed or the application will be returned
1. APPLICANT INFORMATION:
1. Applicant's name: CITT OF SANFORD (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: PAUL WEEKS. PE per 15A NCAC 02T .0106(b)
Title: CITY ENGINEER
4. Applicant's mailing address: PO Box 3729
City: SANFORD State: hK Zip: 2 1-3729
NC Dept of Environmental Quality
5. Applicant's contact information: DIX 11 2019
Phone number: (2& 77-1119 Email Address: [e-mail] fr; yj Ll�
II. PROJECT INFORMATION: Raleigh Regional Office
1. Project name: THE PARK SUBDIVISION PHASE 2
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number. WQ0016 886
3. County where project is located: )SEE
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.424267 Longitude:-79.130478
5. Parcel ID (if applicable): Lee County Pin # : 9661.00-5390-00
(or Parcel ID to closest downstream sewer)
Ill. CONSULTANT INFORMATION:
1. Professional Engineer M W BRIGHT License Number. 12585
City: SANFORD State: NC Zip: 27331- 553
Phone number. (21D 776-344 Email Address: I
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: BIG BUFFALO WASTEWATER TREATMENT PLANT Permit Number: 0024147
Owner Name: CITY OF SANFORD
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ_ Downstream (Receiving) Sewer Size: 12 inch
Sy_§tem Wide Collection System Permit Number(s) (if applicable): WQCS
Owner Name(s): CITY OF SANFORD
FORM: FTA 04-16 Page 1 of 5

VI. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes []No ®NIA
2. If the Applicant is a Developer of lots to be sold, has a Developer's Onerational Agreement (FORM: DEV) been attached?
❑ Yes []No ®NIA
3. If the Applicant is a lJome/Pro a Owners' Association has an Operational A cement FORM: HOA1 been attached?
❑ Yes ❑No ®NIA
4. Origin of wastewater. (check all that apply):
® Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School I preschool I day care ❑ Medical I dental I veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses I offices ! factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: JW,16 Domestic/Commercial % Commercial
% Industrial (See 15A NCAC. 02T .0103(20))
bIs there a Pretreatment Program in effect? ❑ Yes []No
6. Hasa flow reduction been approved under 15A NCAC _02T .0114(f)7 ❑ Yes ® No
D If yes. provide a cony of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.011440
Dally Design Flow
No. of Units
Flow
RESIDENTIAL
480 pVUNIT
35
16,800 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Talal
16,800 GPD
a See 15A NCAC 02T .0114 d e l and e 2 for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or out of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 021'.01 14 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 16.600 GPD (per 15A NCAC 02T _01 14)
D Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: ETA 04-16 Page 2 of 5

VIL GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
$
2,370
PVC
8
330
Dip
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section IIi contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIIL PUMP STATION DESIGN CRITERIA (If Applicable) —02T .0305 & MDC (Pump Stations/Force Mains):
CQMPLETE FOR EACH PUMP STATIQN INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: _. Longitude: -
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational Point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with 15A_NCAC 02T .0305(hl(11:
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(l)(B),
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
D Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry -15A NCAC 02T .0305(hxl)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timefirames, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

M. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in 15A NCAC 02T .0305 & ® Yes [:]No
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall he nmvided far sewer cvstems-
Setback Parameter*
Se ion Required
Storm sewers and other utilities not listed below vertical
24 inches
Water mains vertical -water over sewer includipA in benched trenches
18 inches
Water mains(horizontal)
10 feet
Reclaimed water lines vertical - reclaimed over sewer
18 inches
Reclaimed water lines(horizontal - reclaimed over sewer
2 feet
"*Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
"Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
hi water or tide elevation and wetlands see item IX.2
50 feet
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and intemeptor drains
5 feet
Any swimming pools
10 feet
Final earth arade vertical
36 inches
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305 cannot be achieved.
➢ "*Stream classifications can be identified using the Division's NC Surface Water Classifications webpaee
➢ If noncompliance with 02T.0305 1() or (2). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ❑ Yes ❑ No ® NrA
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
D As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .02007 ❑ Yes ❑ No ® N;'A
➢ This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes ❑ No
Per 15A NCAC 02T.0I05(c)(6). directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No ❑ N;'A
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be Inspected by the permittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTMCATIONS:
L Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump Stations
and Force Mains fla$est version), and the gMyity Sewer Minimum Design Criteria (latcstversion) as applicable?
® Yes ❑ No
If No, complete and submit the Variance/Alt eo ative Design Request application (VADC 10-14) and supporting documents for
review. Appi oval gf the ygquest Is reaqind prior to submittal gl1bg EN Track Application a> d sUgllagir documents.
2. Professional Engines Certification:
I, _Ken W. Bright, PE attest that this application for
t�pPrroofessional Engineer's name from Application Item HLL)
The Park Subdivision Phase 2
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design has been prepared In accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the B iinimum Design criteria for the Fast -Track Permitting
of Pump Stations and Fore Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143 215.6A and 143-215.613, any poison who knowingly makes qny false
statement, representation, or certification is any application package shall be guilty of a Class 2 misdemeanor, which may
Include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date: ����••� ti CIRO ••
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3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, Pau! Weeks, PE attest that this application for
(S Authority's name & title from Application Item I.3.)
The Park Sub ' 'on Phase Z
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application am not completed and that if all required supporting documentation and attachments are not included, this
application packager is subject to being returned as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated I also understand that if all required parts of this application package are not completed and that if
all required supporting information and attachments are not included, this application package will be returned to me as
incomplete,
NOTE — In accordance with General Statutes 143-215.6A and 141,215.6B. any person who knowingly makes any false
statement, representation, or cer iScetion in any appl earl n package shaU be guilty of a Class 2 misdemeanor, whkb may
Include a fine not to exceed S 10,000 as well as civil pe alti to $25,000 per violation,
Signature: Date: 1
FORM: FTA 04-16 Page 5 of

NC Dept of Environmental Quality
LEC 1 1 2019 State of North Carolina
Department of Environmental Quality
DWR Raleigh Regional Office Division of Water Resources
Division of Water Resources Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: Ci of Sanford
Project Name for which flow is being requested: Park at South Park 2.
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Big Buffalo WWTP
b. WWTP Facility Permit t NCO024147
All flows are in MGD
c. WWTP facility's permitted flow 12.0
d. Estimated obligated flow not yet tributary to the WWTP 1.31221
e. WWTP facility's actual avg. flow 3.9020
f. Total flow for this specific request 0.0168
g. Total actual and obligated flows to the facility 5.23101
It. Percent of permitted flow used 43.59%
II. Complete this section for each pump station you are responsible for along the route of this proposed
wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A)
(B)
(C)
(D)--(B+C)
(E)=(A-D)
Design
Average
Approx.
Obligated,
Pump
Pump
Daily
Current
Not Yet
Total Current
Station
Station
Firm
Flow**
Avg. Daily
Tributary
Flow Plus
(Name or
Permit
Capacity, *
(Firm / pf),
Flow,
Daily Flow,
Obligated
Available
Number)
No.
MGD
MGD
MGD
MGD
Flow
Capacity***
Gaster's
WQ0036837
4.032
1.61
1.02
0.06028
1.08028
0.52972
* The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow
that can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor
(pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** A Planning Assessment Addendum shall! be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): City of Sanford collections stem
Downstream Permit Number: W CS00047
Page 1 of 6
FTSE 10-18

M. Certification Statement:
I Paul M. Weeks, Jr. P.E. certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances, given the implementation of the planned improvements
identified in the planning assessment where applicable. This analysis has been performed in accordance
with local established policies and procedures using the best available data. This certification applies to
those items listed above in Sections I and II plus all attached planning assessment addendums for which I
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
Signing Official Signature
Title of Sign%g Official
Page 2 of 6
FTSE 10-18

KEN BRIGHT ASSOCIATES, PLLC
Consultine Engineers
December 6, 2019
Mr. Ted Cashion
North Carolina Division of Environmental Management
Division of Water Quality
1628 Mail Service Center
Raleigh, NC 27699-1628
Re: The Park Phase 2 Sewer Extension
Lee County NC Dept of Environmental Quality
Dear Ted: DEC, I # 20
Enclosed please find the following documents:
1. The fast track sewer application. Raleigh Regional office
2. Form FTSE 04-16
3. A check for the amount of $ 480.00.
4. A Color copy of a USGS Topographic map.
5. A Street level map.
6. A Vicinity Map
The project consists of the extension of approximately 2,750 LF of 8" PVC & DIP pipe
to serve new 35 residential lots.
If you have any questions please feel free to contact me.
I would appreciate your reviewing these as soon as possible. If you have any questions
please feel free to contact me.
Sincerely,
Jam... V- &Szj.'�
Ken W. Bright, PE
File: project2018/The Park Phase Mewer /Letter sewer appl.doc
P.O Box 553 Phone: [phone]
2305 Carthage Street
Sanford, NC 27330 e-mail- [e-mail]

NC Dept of Environmental Quality
DEC 11 2019
Raleigh Regional Office
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